Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Ot Eval Mod Complex
Low
$73
Average
$249
Median
$209
High
$3.5k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
293 hospitals; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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520 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $96 | $149 | $86 | 57% | 28 | $81 – $270 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $318 | $281 | $64 | 23% | 18–54 | $167 – $325 |
| 3 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $127 | $127 | — | — | 14 | $127 – $127 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $225 | $225 | $118 | 52% | 4–40 | $107 – $342 |
| 5 | Fairview Health Services Edina, MN other · inpatient | 1 | $269 | $269 | — | — | 2–20 | $269 – $269 |
| 6 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $159 | $159 | — | — | 2–20 | $159 – $159 |
| 7 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $107 | $107 | — | — | 2–20 | $107 – $107 |
| 8 | Fairview Health Services Princeton, MN other · inpatient | 1 | $159 | $159 | — | — | 2–20 | $159 – $159 |
| 9 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $331 | $331 | $0 | 0% | 2–20 | $331 – $331 |
| 10 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $157 | $195 | $79 | 40% | 2–20 | $137 – $331 |
| 11 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $163 | $163 | — | — | 2–20 | $163 – $163 |
| 12 | Maple Grove Hospital Corporation Grove, MN facility · per diem · both | 5 | $241 | $204 | $61 | 30% | 2–20 | $107 – $266 |
| 13 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 8 | $333 | $320 | $66 | 21% | 2–20 | $118 – $370 |
| 14 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $121 | $162 | $77 | 47% | 2–20 | $96 – $270 |
| 15 | North Memorial Health Care Robbinsdale, MN facility · per diem · both | 5 | $241 | $204 | $61 | 30% | 2–20 | $107 – $266 |
| 16 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $75 | $75 | $1 | 1% | 2–20 | $74 – $76 |
| 17 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $331 | $331 | $0 | 0% | 2–20 | $331 – $331 |
| 18 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $157 | $195 | $79 | 40% | 2–20 | $137 – $331 |
| 19 | Sioux Center Health Sioux Center, IA percent of total billed charges · outpatientfrom % of charges | 2 | $149 | $149 | $13 | 9% | 2–20 | $136 – $162 |
| 20 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $151 | $151 | $62 | 41% | 1–10 | $89 – $213 |
| 21 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $256 | $256 | $25 | 10% | 1–10 | $231 – $281 |
| 22 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $205 | $205 | $20 | 10% | 1–10 | $185 – $225 |
| 23 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $295 | $295 | $25 | 9% | 1–10 | $269 – $320 |
| 24 | Avera Tyler Hospital Tyler, MN percent of total billed charges · outpatientfrom % of charges | 2 | $256 | $256 | $25 | 10% | 1–10 | $231 – $281 |
| 25 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $159 | $130 | $36 | 27% | 1–10 | $85 – $159 |
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